| NPI | 1710361936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA HERNANDEZ DROZDOWICZ Physician 215-840-4624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0101256434) |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
| 261QR0400X Clinic/Center, Rehabilitation | |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2020-11-29 |